头针配合张力平衡针法治疗中风后痉挛性瘫痪的随机对照临床研究(1)
【摘要】目的 研究头针配合张力平衡针法治疗中风后痉挛性瘫痪的疗效。方法 选取2015年8月~2016年5月我院收治的中风后痉挛性瘫痪患者98例作为研究对象,采用随机取样法,将其分为实验组50例和对照组48例。实验组选取头针配合张力平衡针法治疗,而对照组则进行常规针刺法,28天后复评肌痉挛状态。
结果 治疗后,两组患者肌张力以及肌痉挛状态都比治疗前显著改善,差异有统计学意义(P<0.05)。实验组总有效率为88%显著优于对照组的64.58%,差异有统计学意义(P<0.05)。结论 头针配合张力平衡针法治疗中风后痉挛性瘫痪患者具有较好疗效,对改善患者肌张力以及肌痉挛状态有着良好效果。
【关键词】张力平衡针法;痉挛性瘫痪;麻痹;随机对照;中风;头针
【中图分类号】R246 【文献标识码】A 【文章编号】ISSN.2095-6681.2016.20.00.02
Head needle with tension balance acupuncture in the treatment of spastic paralysis after stroke randomized controlled clinical studies
ZHANG Hai-yan,YAN Ling,MAN Hui-jing,SONG Hong-ying,YANG Qing-ran
(Cangzhou city, hebei province people's hospital,Hebei Cangzhou 061000,China)
【Abstract】Objective To study the head tension balance acupuncture needle with curative effect for the treatment of spastic paralysis after stroke.Methods Select August 2015~in May 2016 in our hospital 98 cases of patients with spastic paralysis after stroke as the research object, using random sampling method, it can be divided into 50 cases of experimental group and the control group of 48 cases. Group selection head needle with tension balance acupuncture treatment, while control group routine acupuncture method, 28 days review muscle spasticity.Results After treatment, two groups of patients with muscle tension and muscle spasticity were improved significantly than before treatment, the difference was statistically significant (P<0.05). The experimental group had a significantly better than the total effective rate was 88% 64.58%, the difference was statistically significant (P<0.05).Conclusion Head needle stitch tension balance in the treatment of spastic paralysis after stroke patients have good curative effect, muscle tension and muscle spasticity in patients with improved has a good effect.
【Key words】Tension balance stitch;Spastic paralysis;Paralysis;Randomized controlled;Stroke;Head of the needle
痙挛性瘫痪的病症是患肢肌张力增高[1],腱反射亢进、浅反射减弱或消失,出现病理反射,无肌萎缩和肌束震颤,但长期瘫痪后可见废用性肌萎缩[2]。病人在中风后容易引发严重的后遗症,患者在中风后出现肢体瘫痪,肌张力突然大幅度的升高或发生痉挛,动作协调能力下降。如果长期处于痉挛状态,会影响最终的疗效。为此,本文选取我院收治的中风后痉挛性瘫痪患者98例作为研究对象,采用头针配合张力平衡针法治疗,疗效显著,现报道如下。
1 资料与方法
1.1 一般资料
选取2015年8月~2016年5月我院收治的中风后痉挛性瘫痪患者98例作为研究对象,采用随机取样法,将其分为实验组50例和对照组48例。所有患者符合本研究纳入标准。两组患者一般资料比较,差异无统计学意义(P>0.05)。见表1。
1.2 诊断标准
参照1995年中华医学会第四次全国脑血管病学术会议通过的脑梗死、脑出血诊断标准。并通过Barthel指数评定量表评定患者的疗效。量表总分100分,其中0~20分患者为完全依赖,21~60分的患者严重依赖,61~90分的患者为中度依赖,91~99分的患者为轻度依赖,100分的患者为完全独立。对于轻度依赖与完全独立的患者,论文认为治疗效果是显效的,中度依赖的患者论文认为资料是有效的,而对于0~60分的患者,论文认为是无效的。, 百拇医药(张海燕 严玲 满慧静 宋宏颖 杨清然)
结果 治疗后,两组患者肌张力以及肌痉挛状态都比治疗前显著改善,差异有统计学意义(P<0.05)。实验组总有效率为88%显著优于对照组的64.58%,差异有统计学意义(P<0.05)。结论 头针配合张力平衡针法治疗中风后痉挛性瘫痪患者具有较好疗效,对改善患者肌张力以及肌痉挛状态有着良好效果。
【关键词】张力平衡针法;痉挛性瘫痪;麻痹;随机对照;中风;头针
【中图分类号】R246 【文献标识码】A 【文章编号】ISSN.2095-6681.2016.20.00.02
Head needle with tension balance acupuncture in the treatment of spastic paralysis after stroke randomized controlled clinical studies
ZHANG Hai-yan,YAN Ling,MAN Hui-jing,SONG Hong-ying,YANG Qing-ran
(Cangzhou city, hebei province people's hospital,Hebei Cangzhou 061000,China)
【Abstract】Objective To study the head tension balance acupuncture needle with curative effect for the treatment of spastic paralysis after stroke.Methods Select August 2015~in May 2016 in our hospital 98 cases of patients with spastic paralysis after stroke as the research object, using random sampling method, it can be divided into 50 cases of experimental group and the control group of 48 cases. Group selection head needle with tension balance acupuncture treatment, while control group routine acupuncture method, 28 days review muscle spasticity.Results After treatment, two groups of patients with muscle tension and muscle spasticity were improved significantly than before treatment, the difference was statistically significant (P<0.05). The experimental group had a significantly better than the total effective rate was 88% 64.58%, the difference was statistically significant (P<0.05).Conclusion Head needle stitch tension balance in the treatment of spastic paralysis after stroke patients have good curative effect, muscle tension and muscle spasticity in patients with improved has a good effect.
【Key words】Tension balance stitch;Spastic paralysis;Paralysis;Randomized controlled;Stroke;Head of the needle
痙挛性瘫痪的病症是患肢肌张力增高[1],腱反射亢进、浅反射减弱或消失,出现病理反射,无肌萎缩和肌束震颤,但长期瘫痪后可见废用性肌萎缩[2]。病人在中风后容易引发严重的后遗症,患者在中风后出现肢体瘫痪,肌张力突然大幅度的升高或发生痉挛,动作协调能力下降。如果长期处于痉挛状态,会影响最终的疗效。为此,本文选取我院收治的中风后痉挛性瘫痪患者98例作为研究对象,采用头针配合张力平衡针法治疗,疗效显著,现报道如下。
1 资料与方法
1.1 一般资料
选取2015年8月~2016年5月我院收治的中风后痉挛性瘫痪患者98例作为研究对象,采用随机取样法,将其分为实验组50例和对照组48例。所有患者符合本研究纳入标准。两组患者一般资料比较,差异无统计学意义(P>0.05)。见表1。
1.2 诊断标准
参照1995年中华医学会第四次全国脑血管病学术会议通过的脑梗死、脑出血诊断标准。并通过Barthel指数评定量表评定患者的疗效。量表总分100分,其中0~20分患者为完全依赖,21~60分的患者严重依赖,61~90分的患者为中度依赖,91~99分的患者为轻度依赖,100分的患者为完全独立。对于轻度依赖与完全独立的患者,论文认为治疗效果是显效的,中度依赖的患者论文认为资料是有效的,而对于0~60分的患者,论文认为是无效的。, 百拇医药(张海燕 严玲 满慧静 宋宏颖 杨清然)